Retrospective Analysis of the Oldest-Old Patients Who Applied to the Emergency Department and Their Differences from the Young-Old And Middle-Old

Authors : İbrahim TOKER, Ayşin KILINÇ TOKER, İrfan GÖKÇEK, Emre BULBUL, Gökhan YILMAZ, Mustafa SİLCAN, Şaban IRMAK, Mükerrem ALTUNTAŞ

Pages : 20-24

Doi:10.54996/anatolianjem.1119584

View : 22 | Download : 7

Publication Date : 2023-03-08

Article Type : Research Paper

Abstract :Aim: Our study examined young, middle, and oldest-old patients who visited the emergency department insert ignore into journalissuearticles values(ED); and their differences. Material and Methods: The research was executed retrospectively, utilizing the medical data of patients aged 65 and over who applied to the ED of a research hospital in Kayseri for the two years between January 1, 2020, and December 31, 2021. The patients were young-old, between 65 and 74 years old; aged 75 to 84 were middle-old, and those aged 85 and over were classified as oldest-old. Results: 84415 insert ignore into journalissuearticles values(13.7%); older patients visited the ED during the study period. The patients’ median age was 74 years, IQRs insert ignore into journalissuearticles values(69- 80); and 53.9% insert ignore into journalissuearticles values(n=45466); were female. 53.4% of the patients were young-old, 33.4% middle-old, and 13.2% were oldest-old. 7.2% insert ignore into journalissuearticles values(n=6060); of the hospitalized patients were admitted to the intensive care unit, and 7.8% insert ignore into journalissuearticles values(n=1719); died. Among the first three reasons for admitting the patients to the ED, 20% insert ignore into journalissuearticles values(n=16874); had COVID-19, 14.4% insert ignore into journalissuearticles values(n=12131); had gastrointestinal symptoms, and 13.9% insert ignore into journalissuearticles values(n=11718); had circulatory system symptoms. Oldest-old patients were brought to the ED by ambulance more insert ignore into journalissuearticles values(38.4% vs. 50.9% vs. 63.2% p< 0.001);, stayed longer in the ED insert ignore into journalissuearticles values(81 vs. 103 vs. 116 minutes, p<0.001);, fewer discharged insert ignore into journalissuearticles values(76.2% vs. 69.5% vs. 66%, p<0.001); and a higher in-hospital mortality rate insert ignore into journalissuearticles values(6% vs. 8.1% vs. 12.4% p<0.001);. Conclusıon: We found that the length of stay in the ED, hospitalization rate, and ED and hospital mortality increased with age and were higher in oldest-old patients. We think that emergency health services should be developed according to the groups of elderly patients.
Keywords : Yaşlı, hasta sonuçlarının değerlendirilmesi, acil tıp